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Final test of knowledge (Part 1) Flashcards | StudBud
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Final test of knowledge (Part 1)
Final test of knowledge (Part 1)
25 terms
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StudBud Administration
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226 plays
Wave 28A MCG MSO Training
Flashcards
25 cards
F
Practice quiz
P
Host live
L
Questions
25
Answers
1
Which would be an appropriate document to use when making a one time premium payment?
Billing Audit Request Calls.
Grace Periods and One Time Payments.
Premium Payments for Medicare Member Calls.
One Time Payment in eBilling.
2
Which CI screen is used to order an ID card?
PAMG
UMID
PAPI
PAID
3
Which of the following should
NOT
be included in your notes?
Documents used
Slang
The reason for the call
Information advised
4
What type of grievance would be used when the Provider is RUDE to the Member?
QAA Grievance
Sales Allegations Grievance
Standard Grievance
Informal Complaint
5
When changing an address we can check _____ to find out if the member is still in service area.
2017 Individual Medicare Customer Number Grid
MapQuest
www.humana-medicare.com
Google Maps.
6
Which part of Medicare is considered pharmaceutical coverage?
Part C
Part D
Part A
Part B
7
Who can call and Submit a Grievance over the Phone?
Provider
Member's Hair-Dresser
Member/POA
Member's Dog
8
A(n) _____ should be created with every call.
Interaction.
Inquiry.
Case.
Task.
9
Which tool is used to verify RX accumulations?
RX Connect
Argus/RX Nova
RXLookup
CRM Service
10
What is the name of Bambi's rabbit friend?
Flower.
Faline.
Thumper.
Bunny.
11
Which of the follow plan types will you
NOT
handle?
MEF
MES
MEP
MER
12
What is the name of Kiara's friend, whom she falls in love with, in the Lion King 2?
Nuka.
Zazu.
Scar.
Kovu.
13
Of the plans listed, which is the
only
Medicare plan that may require a medical referral?
PFFS
PDP
PPO
HMO
14
In Grey's Anatomy which character was given the nickname McSteamy?
Jackson Avery
Mark Sloan
Derek Shepherd
Alex Karev
15
When is it appropriate
NOT
to use a Mentor document on a call?
Only when I can't find the right document.
When I have the Mentor document memorized.
When I don't feel like using Mentor.
Never, we should use Mentor on every call.
16
Which CAS screen is used to view hospital
inpatient PRE-ADMISSION authorization
information?
RFI
RSI
PRI
MHI
17
What does "PHI" mean?
Please Help Idiots
Private Humana Investigator
Protected Health Information
Personal Health Information
18
When providing medical benefits, which mentor document will you use every time?
CCP CAS Benefit Matrix
Global Surgery Overview
General Drug VOB for Medicare and Medicaid
VOB Inquiry Initial Call
19
Which department handles Access to Care issues for pharmacy?
CIT
Anyone skilled in RX benefits
DESU
HCPR
20
When you get an "angry man" in CI you can proceed only after pushing the _______ key.
F11
ALT
DELETE
Control (CTRL)
21
What is the name of the hobbit played by Elijah Wood in the Lord of the Rings movies?
Samwise Gamgee.
Bilbo Baggins.
Peregrin Took.
Frodo Baggins.
22
Which document would be used to find out the meaning of the error code in Argus?
Action for Argus Error Codes.
Pharmacy Issues
Address Information Change.
Pharmacy Claim Status Codes
23
If the caller says they need a mail order override for a drug which document would be used?
No override can be done, transfer to HP.
Medicare Pharmacy COB Calls.
No documents will be needed.
Mail Order Status Calls.
24
What three pieces of information can be given to authenticate?
Date of Birth
Blood Type
Humana ID
Zip Code
25
In Friends, what is the name of Ross and Rachel's daughter?
Eliza
Emma
Rosa
Jenna